Organization
EYES ON MAIN INCORPORATED
Active
Other names
EYES ON MAiN
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C SQUIRE OD (PRESIDENT)
(406) 586-2173
Entity
Organization
Contact information
Practice address
1425 W MAIN ST, UNIT B, BOZEMAN, MT 59715-3283
(406) 586-2173
Mailing address
1425 W MAIN ST, UNIT B, BOZEMAN, MT 59715-3283
(406) 586-2173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
657
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000028361
BCBS OF MONTANA
MT
01
—
000085167
MEDICARE GROUP PIN
MT
05
—
0483752
—
MT
01
—
1982766747
INDIVIDUAL NPI NUMBER
—
Enumeration date
12/21/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us